OrganizationActive
California Emergency Physicians
NPI 1285747402 · Family Medicine Physician · Lake Forest, CA
Provider details
- NPI number
- 1285747402
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Theophile Koury, Coo(510) 350-2600
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
22855 Lake Forest Dr
# a
Lake Forest, CA 92630-1656
Phone: (949) 452-7544
Approximate (ZIP-level) locationGet directions
Mailing address
2100 Powell St
Emeryville, CA 94608-1826
Registry dates
- Enumerated
- 2006-08-15
- Last updated
- 2015-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.